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_ <br /> PROJECT AUTHORIZATION FORM ~ Engineering <br /> Public Works <br /> I <br /> City of Eugene <br /> 244 E. Broadway <br /> Eugene, OR 97401 <br /> ` / (541) 682-5560 <br /> Service ID: ~ - SID PB ~GL ~JC JE _ <br /> Project title: 1~®~~ ~`I"~ V f~Gi,!'A <br /> (location an work description) <br /> Project manager /contact /private engineer: 1 E~..l l !?4 6 N~ <br /> PROJECT SCOPE: <br /> ir~g:-- - ~ ~ Bike lanes /paths: <br /> (w;drns) (widrn) <br /> Concrete walks: Setback /Curbside <br /> (length) (width) <br /> Sanitary sewer Storm sewer Landscaping <br /> Signal Street lights ROW required <br /> New building construction ~ Planning, other Remodel <br /> FUNDING SOURCES: <br /> City Assessments Private Other department <br /> Account code <br /> Fed /State /County FAA f ~ y fixed) <br /> COMMENTS /SPECIAL PROJECT INFO. /INTERDEPARTMENTAL WORK DESCRIPTION: <br /> <br /> i <br /> <br /> r - <br /> ` -1s <br /> C Y" Lit ~ ~ C i~ G) ~ L /:2.c b'" <br /> ~ <br /> APPROVED: <br /> Project Manager Date ~ 23 6 _ <br /> Pri ipa~ ngineer '.,e Date <br /> Manager ~ Date ~ ~ <br /> City Engineer Date ~ ~ <br /> <br /> I <br /> FOR USE BY ADMINISTRATION ONLY <br /> Capital Project No. ~ ACK ~ ~3~~ r~'~'XX`~C. ~t'~kSc~Z~ <br /> GL Title J ' ~ ~ ~ ~ ~ ~ <br /> Assigne by Date 3 r' <br /> Accounting by Date <br /> ATTACHMENTS: <br /> Budget Estimate ? Developer Agreement ? Engineer's Report On Improvement Petition. <br /> ? SDC Budget Worksheet ? Engineering Agreement ? Engineering Service Work Request <br /> ? City Engineer's Initiating Order ? Public Improvement Permit Application ? Map <br /> File Request Form <br /> ENG 415 WHITE /Finance YELLOW /Administration File PINK /Engineering File G~OL'DENyR~OD /Project /Manager JANUARY 20Q0 <br /> <br />